FORM 1023-EZ for ASHEVILLE MUSHROOM CLUB INC

Field Data
EIN 84-3059686
Case Number EO-2019324-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASHEVILLE MUSHROOM CLUB INC
Organization’s Mailing Address PO BOX 18676
City ASHEVILLE
State NC
ZIP 28814-676
Accounting period End 12
Primary contact name LAURIE JAEGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUZANNE BERRYHILL
PRESIDENT
PO BOX 764
CLYDE NC 28721-764

Officer/Director/Trustee Two

FRANCIS BARTUCCA
VICE PRESIDENT
40 MOONRISE RIDGE
LEICESTER NC 28748-6518

Officer/Director/Trustee Three

LAURIE JAEGERS
TREASURER
40 MOONRISE RIDGE
LEICESTER NC 28748-6518

Officer/Director/Trustee Four

CHARLOTTE CAPLAN
SECRETARY
39 COURTLAND AVE
ASHEVILLE NC 28801-2153

Officer/Director/Trustee Five

DAVID JARJOURA
FORAY CHAIRPERSON
1053 SANDY MUSH RD
MARSHALL NC 28753-6193

Organization’s website ASHEVILLEMUSHROOMCLUB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAURIE JAEGERS
Signature Title TREASURER
Signature Date 11/18/19

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